童年不良经历可预测轻度脑外伤成人神经行为症状报告的增加。

IF 1.8 Q3 CLINICAL NEUROLOGY
Neurotrauma reports Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI:10.1089/neur.2024.0014
Dmitry Esterov, Trevor D Persaud, Jennifer C Dens Higano, Blake A Kassmeyer, Ryan J Lennon
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引用次数: 0

摘要

本研究的目的是了解18岁之前的不良童年经历(ACE)是否会预测因轻度创伤性脑损伤(mTBI)后症状持续存在而前来就诊的成年人神经行为症状报告的增加。这项横断面研究确定了2014年至2018年期间到门诊多学科康复诊所接受治疗的78名轻微创伤性脑损伤患者。入院时收集了神经行为症状量表(NSI-22)评分,并通过病历审查摘录了每位患者的ACE。采用线性回归模型来评估 18 岁前至少经历过一次 ACE 的患者与 18 岁前未报告任何 ACE 史的患者相比,其神经行为评分是否有显著差异。经年龄和性别调整后,与无 ACE 史的患者相比,报告在 18 岁前至少经历过一次 ACE 的参与者在进入康复诊所时的 NSI-22 分数明显增加(平均差异为 10.1,P = 0.011)。对于接受治疗的 mTBI 患者来说,18 岁前有 ACE 史与神经行为症状的增加有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exposure to Adverse Childhood Experiences Predicts Increased Neurobehavioral Symptom Reporting in Adults with Mild Traumatic Brain Injury.

The objective of this study was to understand whether exposure to adverse childhood experiences (ACEs) before 18 years of age predicts increased neurobehavioral symptom reporting in adults presenting for treatment secondary to persistent symptoms after mild traumatic brain injury (mTBI). This cross-sectional study identified 78 individuals with mTBI from 2014 to 2018 presenting for treatment to an outpatient multidisciplinary rehabilitation clinic. Neurobehavioral symptom inventory (NSI-22) scores were collected on admission, and ACEs for each patient were abstracted by medical record review. A linear regression model was used to assess if an individual who experienced at least one ACE before age 18 resulted in significantly different neurobehavioral scores compared with those not reporting any history of an ACE before age 18. Participants who reported at least one ACE before age 18 had significantly increased NSI-22 scores on admission to the rehabilitation clinic compared with patients without history of ACEs (mean difference 10.1, p = 0.011), adjusted for age and gender. For individuals presenting for treatment after mTBI, a history of ACEs before age 18 was associated with increased neurobehavioral symptoms.

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来源期刊
CiteScore
2.40
自引率
0.00%
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